| NPI | 1699801068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0075333) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA P-230874) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-07-01 |